1.Organoaxial partial rotation of duodenum with midgut malrotation in an adult.
Luckshika Udeshani AMARAKOON ; Baj Gamage Anushka RATHNAMALI ; Jasin Arachchige Saman Bingumal JAYASUNDARA ; Ajith de SILVA
Singapore medical journal 2014;55(12):e191-3
Midgut malrotation includes a range of developmental abnormalities that occur during fetal intestinal rotation. Manifestations of intestinal malrotation are generally seen in the paediatric population and are uncommon in adults. Symptomatic patients may present with either acute abdominal pain due to midgut volvulus, or chronic abdominal pain due to proximal midgut partial obstruction in the presence of congenital bands. A limited number of paediatric cases of duodenal occlusion due to duodenal malrotation has been previously reported in the medical literature. We herein report the case of a 57-year-old woman who presented with duodenal obstruction due to organoaxial partial rotation of the distal duodenum associated with midgut malrotation. This is probably the first of such a case diagnosed in adulthood reported in the medical literature. Our patient underwent Roux-en-Y duodenojejunostomy and had symptomatic relief following the successful surgery.
Duodenal Obstruction
;
congenital
;
diagnosis
;
surgery
;
Duodenostomy
;
Duodenum
;
abnormalities
;
Female
;
Humans
;
Middle Aged
;
Sri Lanka
;
Treatment Outcome
2.Large Brunner's gland hamartoma with annular stricture causing gastric outlet obstruction.
In Tae HWANG ; Young Bum CHO ; Dong Eun PARK ; Keum Ha CHOI ; Tae Hyeon KIM
The Korean Journal of Internal Medicine 2016;31(2):392-395
No abstract available.
Adult
;
Biopsy
;
*Brunner Glands/pathology/surgery
;
Duodenal Diseases/*complications/diagnosis/surgery
;
Duodenal Obstruction/diagnosis/*etiology/surgery
;
Duodenoscopy
;
Gastric Outlet Obstruction/diagnosis/*etiology/surgery
;
Hamartoma/*complications/diagnosis/surgery
;
Humans
;
Male
;
Tomography, X-Ray Computed
;
Treatment Outcome
3.Successful nutritional therapy for superior mesenteric artery syndrome.
Dedrick Kok Hong CHAN ; Kenneth Seck Wai MAK ; Yee Lee CHEAH
Singapore medical journal 2012;53(11):e233-6
Superior mesenteric artery (SMA) syndrome is an uncommon cause of duodenal outlet obstruction. Symptoms and signs suggestive of this condition are nonspecific, and a high index of suspicion coupled with appropriate imaging studies are necessary for diagnosis. We present the case of a 70-year-old man who developed SMA syndrome following prolonged hospitalisation for a surgically treated bleeding duodenal ulcer. His SMA syndrome resolved after successful nonoperative management based on accepted guidelines for nutritional therapy, thus avoiding the need for reoperation and its attendant risks in a malnourished patient.
Aged
;
Duodenal Obstruction
;
drug therapy
;
Duodenal Ulcer
;
complications
;
surgery
;
Endoscopy
;
Hospitalization
;
Humans
;
Male
;
Malnutrition
;
Nutrition Therapy
;
methods
;
Refeeding Syndrome
;
diagnosis
;
Superior Mesenteric Artery Syndrome
;
diet therapy
;
Treatment Outcome
4.Biliary-duodenal Fistula Following Radiofrequency Ablation Therapy for Hepatocellular Carcinoma.
Seong Gill PARK ; Sung Jae PARK ; Ho Suk KOO ; Sang Won PARK ; Eun Tack PARK ; Youn Jae LEE ; Sang Hyuk LEE ; Sang Young SEOL
The Korean Journal of Gastroenterology 2008;51(3):199-203
Hepatocellular carcinoma (HCC) is one of the most common malignant neoplasms occuring worldwide. Surgical resection currently provides the best chance of long-term tumor free survival, but the most HCCs are not candidates for surgical excision due to poor liver function or poor medical background. Numerous noninvasive alternatives to surgical resection have been introduced to treat liver cancers. Radiofrequency thermal ablation has begun to receive much attention as an effective and minimally invasive technique for the local control of HCC. The biliary system related complications after radiofrequency ablation has rarely been reported. We report a case of biliary-duodenal fistula with liver abscess after radiofrequency ablation for HCC. The case was treated by abscess drainage and antibiotics.
Biliary Fistula/*diagnosis/etiology
;
Carcinoma, Hepatocellular/diagnosis/*surgery
;
Catheter Ablation/*adverse effects
;
Duodenal Diseases/*diagnosis/etiology
;
Duodenal Obstruction/diagnosis
;
Female
;
Humans
;
Intestinal Fistula/*diagnosis/etiology
;
Liver Neoplasms/diagnosis/*surgery
;
Middle Aged
;
Tomography, X-Ray Computed
5.Surgical treatment of annular pancreas in adults: a report.
He-Ming ZHENG ; Xiu-Jun CAI ; Lai-Gen SHEN ; Robert FINLEY
Chinese Medical Journal 2007;120(8):724-725
Abdominal Pain
;
diagnosis
;
etiology
;
surgery
;
Adult
;
Duodenal Obstruction
;
complications
;
diagnosis
;
surgery
;
Humans
;
Male
;
Pancreas
;
abnormalities
;
surgery
;
Tomography, X-Ray Computed
;
Treatment Outcome
6.A Case of Groove Pancreatitis with a Characteristic Pathologic Feature.
Kwang Hyuk PARK ; Kyo Sang YOO ; Yong Woo CHUNG ; Kyoung Oh KIM ; Cheol Hee PARK ; Jong Hyeok KIM ; Choong Kee PARK
The Korean Journal of Gastroenterology 2007;49(3):187-191
Groove pancreatitis is a rare form of chronic pancreatitis in which scarring is found mainly in the groove between the head of the pancreas, duodenum, and common bile duct. The pathogenesis of groove pancreatitis is still unclear but seems to be caused by the disturbance of pancreatic outflow through Santorini duct. It is often difficult to differentiate preoperatively between groove pancreatitis and pancreatic head carcinoma. Whereas conservative management is effective, some patients with duodenal obstruction may undergo Whipple's operation. A few case of groove pancreatitis have been reported in Korea, and they were diagnosed only by clinical and radiological features. We experienced a case of groove pancreatitis who needed a surgical management because of severe duodenal obstruction. We report the case with a review of its characteristic pathologic findings.
Adult
;
Diagnosis, Differential
;
Duodenal Obstruction/etiology/*surgery
;
Humans
;
Magnetic Resonance Imaging
;
Male
;
Pancreaticoduodenectomy
;
Pancreatitis, Chronic/*diagnosis/pathology/surgery
;
Tomography, X-Ray Computed
7.Nonrotation of the Prearterial Segment of Midgut Presenting as Duodenal Obstruction in a 60-Year-Old Man.
Ha Na PARK ; Jae Jun PARK ; Jae Hee CHEON ; Woo Jin HYUNG ; Sang Ho CHO ; Ki Hwang KIM ; Tae Il KIM ; Won Ho KIM
The Korean Journal of Gastroenterology 2010;55(4):252-255
Intestinal malrotation is a developmental anomaly resulting from embryologic failure of fixation and rotation of the gut and predisposed to midgut vovulus and small bowel obstruction. Although various forms of malrotation anomalies in the gut can occur, nonrotation of prearterial segment with the initial symptomatic presentation at advanced age has been rarely reported. Here, we report a case of nonrotation of the prearterial segment of the midgut presenting with duodenal obstruction in a 60-year-old man. To our best knowledge, this is the first case reported about nonrotation of prearterial segment of the midgut in Korea.
Diagnosis, Differential
;
Duodenal Obstruction/*diagnosis/surgery
;
Humans
;
Intestinal Volvulus/*diagnosis/radiography
;
Intestine, Small/*abnormalities/embryology/pathology
;
Male
;
Middle Aged
;
Rotation
;
Tomography, X-Ray Computed
8.Bowel Obstruction Caused by an Intramural Duodenal Hematoma: A Case Report of Endoscopic Incision and Drainage.
Chang Il KWON ; Kwang Hyun KO ; Hyo Young KIM ; Sung Pyo HONG ; Seong Gyu HWANG ; Pil Won PARK ; Kyu Sung RIM
Journal of Korean Medical Science 2009;24(1):179-183
Complications associated with an intramural hematoma of the bowel, is a relatively unusual condition. Most intramural hematomas resolve spontaneously with conservative treatment and the patient prognosis is good. However, if the symptoms are not resolved or the condition persists, surgical intervention may be necessary. Here we describe internal incision and drainage by endoscopy for the treatment of an intramural hematoma of the duodenum. A 63-yr-old woman was admitted to the hospital with hematemesis. The esophagogastroduodenoscopy (EGD) showed active ulcer bleeding at the distal portion of duodenal bulb. A total of 10 mL of 0.2% epinephrine and 2 mL of fibrin glue were injected locally. The patient developed diffuse abdominal pain and projectile vomiting three days after the endoscopic treatment. An abdominal computed tomography revealed a very large hematoma at the lateral duodenal wall, approximately 10X5 cm in diameter. Follow-up EGD was performed showing complete luminal obstruction at the second portion of the duodenum caused by an intramural hematoma. The patient's condition was not improved with conservative treatment. Therefore, 21 days after admission, endoscopic treatment of the hematoma was attempted. Puncture and incision were performed with an electrical needle knife. Two days after the procedure, the patient was tolerating a soft diet without complaints of abdominal pain or vomiting. The hematoma resolved completely on the follow-up studies.
Drainage
;
Duodenal Diseases/*diagnosis/pathology/surgery
;
Endoscopy, Digestive System
;
Female
;
Gastrointestinal Hemorrhage/*etiology/therapy
;
Hematoma/*diagnosis/pathology/surgery
;
Humans
;
Intestinal Obstruction/*etiology/therapy
;
Middle Aged
;
Tomography, X-Ray Computed
9.Metastatic bladder cancer presenting as duodenal obstruction.
Katherine HAWTIN ; Alex KENT ; Carole COLLINS ; Dominic BLUNT
Annals of the Academy of Medicine, Singapore 2009;38(10):914-912
INTRODUCTIONBladder cancer is a common malignancy but presentation with metastatic disease is rare. This is the fi rst reported case of duodenal obstruction as a presentation of metastatic bladder cancer.
CLINICAL PICTUREA middle-aged woman presented with nausea, vomiting, weight loss and intermittent haematuria. Radiology and histology confirmed metastatic bladder cancer to the retroperitoneum encasing the duodenum and causing obstruction.
TREATMENTInsertion of a duodenal stent relieved the obstruction and palliative chemoradiotherapy was initiated.
OUTCOMEThe patient died 15 months after diagnosis.
CONCLUSIONSClinicians and radiologists should be aware of atypical presentations of common malignancies.
Adult ; Carcinoma, Transitional Cell ; drug therapy ; secondary ; Diagnosis, Differential ; Duodenal Obstruction ; diagnosis ; etiology ; surgery ; Fatal Outcome ; Female ; Humans ; Palliative Care ; Retroperitoneal Neoplasms ; complications ; diagnosis ; secondary ; Stents ; Urinary Bladder Neoplasms ; drug therapy ; pathology